老年糖尿病患者舌下络脉的对照研究

Observation on subglossal collateral vessels in elderly patients with diabetes

目的观察老年糖尿病患者舌下络脉的变化,探讨该病血瘀辨证的客观指标及其临床意义。方法观察88例老年糖尿病患者舌下络脉变化,并与76例对照进行比较。结果糖尿病组舌下络脉变化较正常对照组严重(u=4·174,P<0·01),且与病程有关。两组舌下络脉异常变化均随年龄增加或糖尿病病程的延长而日趋明显,合并心脑血管病者舌下络脉的增粗、延长、迂曲、扩张、侧支增多以及色泽深紫等变化加重(P<0·05)。结论观察舌下络脉的变化可作为对老年糖尿病治疗效果及判断病情转归情况的参考。

Objective To observe the changes in sublingual collateral vessels of elderly patients with diabetes. Methods Sublingual collateral vessels of 88 patients with diabetes were observed and compared with that of 76 normal people. Results The changes in sublingual collateral vessels of patients with diabetes were more serious than that of normal people （u=4. 174, P〈0. 01）. The changes were related to the course of disease. The longer the course of disease, the more serious the changes in the sublingual collateral vessels. The changes included extension, distortion, expansion, etc. of the vessels. The changes in sublingual collateral vessels were more serious in patients with myocardial or cerebral vessel diseases （P〈0.05）. Conclusion To observe the changes in the sublingual collateral vessels is of high value in demonstrating therapeutic efficacy of traditional Chinese medical treatment and in assessing the patient＇s conditions.